RT Journal Article SR Electronic T1 Changing geographic patterns and risk factors for avian influenza A(H7N9) infection in China JF bioRxiv FD Cold Spring Harbor Laboratory SP 146183 DO 10.1101/146183 A1 Jean Artois A1 Xiling Wang A1 Hui Jiang A1 Ying Qin A1 Morgan Pearcy A1 Shengjie Lai A1 Yujing Shi A1 Juanjuan Zhang A1 Zhibin Peng A1 Jiandong Zheng A1 Yangni He A1 Madhur S Dhingra A1 Sophie von Dobschuetz A1 Fusheng Guo A1 Vincent Martin A1 Wantanee Kalpravidh A1 Filip Claes A1 Timothy Robinson A1 Simon I. Hay A1 Xiangming Xiao A1 Luzhao Feng A1 Marius Gilbert A1 Hongjie Yu YR 2017 UL http://biorxiv.org/content/early/2017/06/08/146183.abstract AB The 5th epidemic wave in 2016-2017 of avian influenza A(H7N9) virus in China caused more human cases than any previous waves but the factors that may explain the recent range expansion and surge in incidence remain unknown. We investigated the effect of anthropogenic, poultry and wetland information and of market closures on all epidemic waves (1-5). Poultry predictor variables recently became much more important than before, supporting the assumption of much wider H7N9 transmission in the chicken reservoir, that could be linked to increases in pathogenicity. We show that the future range expansion of H7N9 to northern China may translate into a higher risk of coinciding peaks with those of seasonal influenza, leading to a higher risk of reassortments. Live-poultry market closures are showed to be effective in reducing the local incidence rates of H7N9 human cases, but should be paired with other prevention and control measures to prevent transmission.